Provider Demographics
NPI:1225126931
Name:MOHN, GEOFFREY ROWLAND (DC)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:ROWLAND
Last Name:MOHN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5187 US ROUTE 60
Mailing Address - Street 2:SUITE 9A
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-2076
Mailing Address - Country:US
Mailing Address - Phone:304-733-4800
Mailing Address - Fax:304-733-2599
Practice Address - Street 1:5187 US ROUTE 60
Practice Address - Street 2:SUITE 9A
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-2076
Practice Address - Country:US
Practice Address - Phone:304-733-4800
Practice Address - Fax:304-733-2599
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3858111N00000X
WV437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0597991Medicare PIN